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ICSW 2019 Media Accreditation Application Form
Attachments checklist:
* Assignment letter
* Copy of passport / Identity document
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* Indicates required question
Name
*
Your answer
Surname
*
Your answer
Position
*
Your answer
Mobile / Whatsapp Number
*
Your answer
Email address
*
Your answer
Name of media organisation
*
Your answer
Language of content / publication / broadcast
*
Your answer
Country of publication / broadcast
*
Your answer
Type of media (TV/video/radio/print/online)
*
Your answer
Website of organisation
*
Your answer
Links to previous work samples (please include at least three samples)
*
Your answer
Areas of interest
*
Your answer
Organisational affiliation / sponsorship (if any)
*
Your answer
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